Hemic and Lymphatic Systems§ 4.117Updated
Rating criteria

VA Diagnostic Code 7720Iron deficiency anemia:

Rated from 0% to 30% under § 4.117. Here is what the VA requires at each level.

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What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 30%

    Requiring intravenous iron infusions 4 or more times per 12-month period

  2. 10%

    Requiring intravenous iron infusions at least 1 time but less than 4 times per 12-month period, or requiring continuous treatment with oral supplementation

  3. 0%

    Asymptomatic or requiring treatment only by dietary modification

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note: Do not evaluate iron deficiency anemia due to blood loss under this diagnostic code. Evaluate iron deficiency anemia due to blood loss under the criteria for the condition causing the blood loss

Iron Deficiency Anemia (VA Diagnostic Code 7720)

Understanding Your VA Rating for Iron Deficiency Anemia

Iron deficiency anemia is a condition of the Hemic and Lymphatic Systems, rated by the VA under Diagnostic Code 7720 in § 4.117 of the rating schedule.

This entry explains the recognized rating levels for iron deficiency anemia and what the VA reviews when assigning a rating.


Available Rating Levels

The VA rates iron deficiency anemia at one of the following levels, based primarily on the type and frequency of treatment required:

RatingWhat It Reflects
30%Requiring intravenous iron infusions 4 or more times per 12-month period
10%Requiring intravenous iron infusions at least 1 time but less than 4 times per 12-month period, or requiring continuous treatment with oral supplementation
0%Asymptomatic, or requiring treatment only by dietary modification

A 0% (noncompensable) rating recognizes the diagnosed condition even when it is asymptomatic or managed through diet alone.


What the VA Looks For

When rating iron deficiency anemia under this code, the VA focuses on the level of treatment your condition requires, such as:

  • Intravenous (IV) iron infusions — and how many times they are needed over a 12-month period
  • Continuous oral supplementation as part of ongoing treatment
  • Dietary modification as the only required treatment
  • Whether the condition is currently asymptomatic

Important Note

Iron deficiency anemia due to blood loss is not evaluated under this diagnostic code. If the anemia results from blood loss, the VA evaluates it under the criteria for the condition that is causing the blood loss.


This information is drawn directly from the VA rating schedule for Diagnostic Code 7720 (§ 4.117). It is provided for general educational purposes and does not guarantee any particular rating or outcome.

These criteria are a rendering of § 4.117, diagnostic code 7720. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 7720 and attach the evidence for the level you are asking for. Other Hemic and Lymphatic Systems codes may cover your secondary conditions.

Find out which rating your evidence supports.

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